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                           FORM
                                      Seller’s Claim for Sales or
472S                                  Use Tax Refund or Credit

                           Submit the listed items to ensure the Department can process your claim.  All required information must  
                           be submitted to avoid a delay or denial.
                           •  Claim Form - A fully completed and signed Seller’s Claim for Sales or Use Tax Refund or Credit (Form 472S).
                           •  Amended Returns - Amended returns for each period the tax was originally reported for which you are seeking a refund or credit. 
                            Exemption Certificate and Letters - A copy of the exemption certificates or exemption letters for the exempt sales in your claim.
                           •  Worksheet - A worksheet (any format) detailing how you calculated the refund or credit amount.
                           •  Invoices - Invoices supporting the claim.  (If the claim is for more than one tax period, invoices for the entire claim may not be         
                              required.  The Department of Revenue will contact you if additional invoices are needed.)
                           •  Refunds in Excess of $100,000 - If you request a refund of $100,000 or more, it will be processed through Automated Clearing House  
                              (ACH). Submit an Agreement to Receive Refund by ACH Transfer (Form 5378).  Visit dor.mo.gov/forms to obtain Form 5378.
Required Documents         •  Additional Verification, As Requested   - The Department may ask for additional records to verify a claim, such as 
                              documentation of returns filed in electronic format or a listing of all items on which tax was accrued and paid for the periods  
                              a refund or credit is being requested.  You will be given a reasonable amount of time to comply with the request.
                           •  Power of Attorney- If someone other than an owner, partner, or officer is the contact person for this claim, an 
                              executed Power of Attorney (Form 2827) must be submitted.  If the power of attorney should receive copies of the  
                              correspondence relating to the claim and the final approval or denial, check the appropriate box in the Seller Information 
                              section on the claim.

                           1.   How can I ensure my claim includes all necessary information? 
                               Review the list above to verify all necessary documents are included in your claim.
                           2.  I am filing a claim that involves more than one filing period. Do I need to file a separate Form 472S claim for each period? 
                               No. Submit one Form 472S for the entire claim. Indicate the periods for which the claim is being submitted.  If your claim is for 
                                multiple periods, you are still required to submit amended returns for each period of your claim.
                           3.  Does the state pay interest on overpayments?
                               Usually not.  Interest is included in a refund only if the overpayment is not refunded within 120 days from the latest of: the last day  
                               prescribed for filing a tax return or refund claim, without regard to any extension of time granted;
                               - the date the return, payment or claim is filed; or
                               - the date the taxpayer files for a credit or refund and provides accurate and complete documentation to support the claim.
                               The law does not provide for interest on a credit.
                           4.  What is the oldest period for which I may request a refund or credit?
                               Prior to August 28, 2019 a refund or credit may be requested within three years of the due date of the original return or the date    
                               paid, whichever is later. 
                               Effective August 28, 2019 Senate Bill 87 was enacted to allow a refund or credit request within ten years of the due date of              
                               the original return or the date paid, whichever is later. 
Frequently Asked Questions 5.  What is my recourse if a claim has been denied?
                               A denial of a claim is the final decision of the Director of Revenue.  A taxpayer may appeal any decision to the Administrative 
                               Hearing Commission (AHC).  Appeals must be submitted in writing to the Administrative Hearing Commission, 301 West High                   
                               Street, Harry S. Truman State Office Building, P.O. Box 1557, Jefferson City, Missouri 65102 within 60 days after the date the 
                               decision is mailed or the date it is delivered, whichever date is earlier.  If your appeal is sent by registered or certified mail, the  
                               appeal will be deemed filed on the date it is mailed.  If the appeal is sent by any method other than registered mail, it will be         
                               deemed filed on the date it is received by the AHC.
                           6.  Can I file negative taxable sales amounts to obtain a refund or credit?
                               No, Missouri does not recognize negative taxable sales for the purpose of a refund or credit claim.  You should file 
                               amended returns for the periods in which you originally reported the taxable sales.      

                                                                                                                                               Form 472S (Revised 11-2021)



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      0 0 0  4 4 4 4 0                                                                                                                                                                               Department Use Only
      0 0 0  5 5 5 5 0                                     FORM                                                                                                                                      (MM/DD/YY)
      0 0 0  6 6 6 6 0                                                      Seller’s Claim for Sales or
      0 0 0  7 7 7 7 0                                 472S                 Use Tax Refund or Credit
      0 0 0  8 8 8 8 0 
      0 0 0  9 9 9 9 0 
      1 1 1  0  0  0  0  1 Missouri Tax I.D.                                                                                                  Federal Employer
      1 1 1  1 1 1 1 1     Number                                                                                                             I.D. Number
      1 1 1  2 2 2 2 1 
                                                                                                              Claim Number (Department Use Only)                                                                      Certified Number (Department Use Only)
      1 1 1  3 3 3 3 1 
      1 1 1  4 4 4 4 1 
      1 1 1  5 5 5 5 1 
      1 1 1  6 6 6 6 1                                 Please check the action to be taken:  r  Credit                  r  Refund 
      1 1 1  7 7 7 7 1                                     Seller Name                                                                        Name on refund check, if different than seller
      1 1 1  8 8 8 8 1 
      1 1 1  9 9 9 9 1                                     Mailing Address                                                                                                                                                 
      2 2 2  0 0 0 0 2 
      2 2 2  1 1 1 1 2                                     City                                                                     State                                                            Zip Code                      Phone Number 
      2 2 2  2 2 2 2 2      Seller Information                                                                                                                                                                                     (__ __ __) __ __ __ - __ __ __ __
      2 2 2  3 3 3 3 2                                     Do you want the Department of Revenue to send copies of any correspondence relating to this refund and the final refund approval or denial to 
      2 2 2  4 4 4 4 2                                     your attorney?         No          Yes    (If yes, include a copy of the Power of AttorneyForm(                                               2827) with the refund application.)
      2 2 2  5 5 5 5 2 
      2 2 2  6 6 6 6 2                                     Reason for Refund Request- Explain the specific grounds upon which your claim for refund or credit is based.
      2 2 2  7 7 7 7 2 
      2 2 2  8 8 8 8 2 
      2 2 2  9 9 9 9 2                                     Provide Specific Statute Sales/Use Tax is Exempt Under:
      3 3 3  0 0 0 0 3                                                                    Requested Refund or           Period Ending            Requested Refund or                                                                                Requested Refund or 
                                                                   Period Ending                                                                                                                                          Period Ending
      3 3 3  1 1 1 1 3                                                                      Credit Amount                                                                        Credit Amount                                                              Credit Amount
      3 3 3  2 2 2 2 3                                     1                              $                       5                              $                                                                    9                             $
      3 3 3  3 3 3 3 3                                     2                              $                       6                              $                                                                    10                            $
      3 3 3  4 4 4 4 3                                     3                              $                       7                              $                                                                    11                            $
      3 3 3  5 5 5 5 3                                     4                              $                       8                              $                                                                    12                            $
                            Refund information
      3 3 3  6 6 6 6 3 
      3 3 3  7 7 7 7 3 
      3 3 3  8 8 8 8 3                                                                                                              13.    Total Amount Requested * (Add Lines 1 - 12)                                                              $
      3 3 3  9 9 9 9 3                                     *If refund is being requested for more than 12 periods, attach a separate schedule breaking down each period as shown in above table. 
      4 4 4  0 0 0 0 4                                                                                            Enter the total for all period on LIne 13.
      4 4 4  1 1 1 1 4 
      4 4 4  2 2 2 2 4                                                                    Provide if you are making a claim on behalf of the purchaser.
                                                                                                                                                                                                                                                             Amount of Refund 
      4 4 4  3 3 3 3 4                                                      Name                              Street Address or PO Box                                                                       City - State - ZIP Code                         Requested
      4 4 4  4 4 4 4 4                                                                                                                                                                                                                                      $
      4 4 4  5 5 5 5 4                                                                                                                                                                                                                                      $
      4 4 4  6 6 6 6 4 
      4 4 4  7 7 7 7 4                                                                                                                                                                                                                                      $
      4 4 4  8 8 8 8 4                                                                                                                                                                                                                                      $
      4 4 4  9 9 9 9 4      Purchaser Information                                                                                                                                                                                                           $
      4 4 4  0 0 0 0 4                                                                                                                                                                                                                                      $
      5 5 5  1 1 1 1 5 
                                                       Under penalties of perjury, I declare that the above information and any attached supplement is true, completed, and correct.
      5 5 5  2 2 2 2 5 
                                                       Signature of Taxpayer or Power of Attorney                                                    Printed Name
      5 5 5  3 3 3 3 5 
      5 5 5  4 4 4 4 5 
                                                         I confirm that amI the following (check one)                                                Date (MM/DD/YYYY)
      5 5 5  5 5 5 5 5                        Signature
      5 5 5  6 6 6 6 5                                     r  Taxpayer       r  Power of Attorney                                                    /___  ___          ___  ___ / ______  ___  ___  
                                                                                                                                                                                                                                                   Form 472S (Revised 11-2021)
      5 5 5  7 7 7 7 5     Mail to:   Taxation Division
      5 5 5  8 8 8 8 5                                            P.O. Box 3350                                   E-mail:  salesrefund@dor.mo.gov
      5 5 5  9 9 9 9 5                                          Jefferson   City, MO 65105-3350                   Visit dor.mo.gov/taxation/business/tax-types/sales-use/ for additional information.
      5 5 5  0 0 0 0 5                                                                                            Ever served on active duty in the United States Armed Forces? 
      6 6 6  1 1 1 1 6      Phone:                                 (573) 526-9938                                 If yes, visitdor.mo.gov/military/to                                                see the services and benefits we offer to all eligible 
      6 6 6  2 2 2 2 6                                 Fax:        (573) 751-9409                                 military individuals. listA of all state agency resources and benefits can be found at                                                      
                                                       TTY:   (800) 735-2966 
      6 6 6  3 3 3 3 6                                                                                            veteranbenefits.mo.gov/state-benefits/.
      6 6 6  4 4 4 4 6 
      6 6 6  5 5 5 5 6 
      6 6 666 6 6 6 






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